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Check Number Check Date Fund Name <br />0 OS/15/2014 License Center <br />0 05/27/2014 License Center <br />0 05/27/2014 License Center <br />73765 <br />73781 <br />73914 <br />73781 <br />73920 <br />73920 <br />73920 <br />73779 <br />73779 <br />05/15/2014 License Center <br />05/15/2014 License Center <br />OS/28/2014 License Center <br />05/15/2014 License Center <br />05/28/2014 License Center <br />05/28/2014 License Center <br />OS/28/2014 License Center <br />05/15/2014 License Center <br />OS/15/2014 License Center <br />0 OS/28/2014 License Center <br />AP-Checks far Approval (6/3/2014 - 1032 AM) <br />Account Name Vendor Name Invoice Desc. Amount <br />FICA Employers Share IRS EFTPS- Non Bank PR Batch 00001.05.2014 Medicare E� 418.89 <br />FICA Employers Share IRS EFTPS- Non Bank PR Batch 00002.05.2014 Medicare E� 418.09 <br />FICA Employers Share IRS EFTPS- Non Bank PR Batch 00002.05.2014 FICA Emplc 1,787.68 <br />FICA Employers Share Total: 4,415.82 <br />HRA Employer ING ReliaStar PR Batch 00001.05.2014 HRA Emplc 955.00 <br />HRA Employer Total: 955.00 <br />HSA Employee Premier Bank PR Batch 00001.05.2014 HSA Emplc 38.46 <br />HSA Employee Premier Bank PR Batch 00002.05.2014 HSA Emplc 38.46 <br />HSA Employee Total: 76.92 <br />HSA Employer Premier Bank PR Batch 00001.05.2014 HSA Emplo 590.00 <br />HSA Employer Total: 590.00 <br />Life Ins. Employee Standard Insurance Company Life Insurance Premium far May 201� 79.00 <br />Life Ins. Employee Total: 79.00 <br />Life Ins. Employer Standard Insurance Company Life Insurance Premium for May 201� 72.72 <br />Life Ins. Employer Total: 72.72 <br />Long Term Disability Standard Insurance Company Life Insurance Premium far May 201� 122.42 <br />Long Term Disability Total: 122.42 <br />Medical Ins Employee NJPA Health Insurance Premium-May 2014 2,340.44 <br />Medical Ins Employee Total: 2,340.44 <br />Medical Ins Employer NJPA Health Insurance Premium-May 2014 6,241.00 <br />Medical Ins Employer Total: 6,241.00 <br />Minnesota Benefit Ded MN BenefitAssociation PR Batch 00002.05.2014 Minnesota f 101.67 <br />Page 27 <br />